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JORDAN DRAHEIM
NPI 1235096769
Student in an Organized Health Care Education/Training Program in Fort Campbell, KY

Active since January 07, 2026
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 956-0336 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Draheim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN DRAHEIM (NPI 1235096769) is an individual student in an organized health care education/training program in Fort Campbell, Kentucky and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1235096769
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN DRAHEIM
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 956-0336
Phone(270) 956-0336
Sole ProprietorNo
Enumeration DateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1235096769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
650 JOEL DR, Fort Campbell, KY 42223
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Draheim's NPI number?

The NPI number for Jordan Draheim is 1235096769. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Jordan Draheim located?

Jordan Draheim practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 956-0336.

What is Jordan Draheim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Draheim was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.